Healthcare Provider Details

I. General information

NPI: 1659292456
Provider Name (Legal Business Name): JARED WERNER STEPHENS FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31350 FRIENDSHIP DR
MAGNOLIA TX
77355-3076
US

IV. Provider business mailing address

31350 FRIENDSHIP DR
MAGNOLIA TX
77355-3076
US

V. Phone/Fax

Practice location:
  • Phone: 281-370-7272
  • Fax:
Mailing address:
  • Phone: 281-370-7272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1243966
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: